WO2010148370A1 - 14-3-3sigma en tant que biomarqueur d'un cancer du sein basal - Google Patents

14-3-3sigma en tant que biomarqueur d'un cancer du sein basal Download PDF

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WO2010148370A1
WO2010148370A1 PCT/US2010/039276 US2010039276W WO2010148370A1 WO 2010148370 A1 WO2010148370 A1 WO 2010148370A1 US 2010039276 W US2010039276 W US 2010039276W WO 2010148370 A1 WO2010148370 A1 WO 2010148370A1
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3sigma
actin
expression
cells
inhibitor
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PCT/US2010/039276
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Aaron T. Boudreau
Mina J. Bissell
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The Regents Of The University Of California
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    • G—PHYSICS
    • G01—MEASURING; TESTING
    • G01N—INVESTIGATING OR ANALYSING MATERIALS BY DETERMINING THEIR CHEMICAL OR PHYSICAL PROPERTIES
    • G01N33/00—Investigating or analysing materials by specific methods not covered by groups G01N1/00 - G01N31/00
    • G01N33/48—Biological material, e.g. blood, urine; Haemocytometers
    • G01N33/50—Chemical analysis of biological material, e.g. blood, urine; Testing involving biospecific ligand binding methods; Immunological testing
    • G01N33/53—Immunoassay; Biospecific binding assay; Materials therefor
    • G01N33/574—Immunoassay; Biospecific binding assay; Materials therefor for cancer
    • G01N33/57407—Specifically defined cancers
    • G01N33/57415—Specifically defined cancers of breast
    • G—PHYSICS
    • G01—MEASURING; TESTING
    • G01N—INVESTIGATING OR ANALYSING MATERIALS BY DETERMINING THEIR CHEMICAL OR PHYSICAL PROPERTIES
    • G01N2333/00—Assays involving biological materials from specific organisms or of a specific nature
    • G01N2333/435—Assays involving biological materials from specific organisms or of a specific nature from animals; from humans
    • G01N2333/46—Assays involving biological materials from specific organisms or of a specific nature from animals; from humans from vertebrates
    • G01N2333/47—Assays involving proteins of known structure or function as defined in the subgroups
    • G01N2333/4701—Details
    • G01N2333/4703—Regulators; Modulating activity

Definitions

  • This invention is in the field of breast cancer biomarkers for basal cancers. More specifically, the present invention relates to the detection, validation and inhibition of a basal cancer marker.
  • basal-like breast cancer accounts for roughly 15% of invasive breast carcinomas and although it lacks a formalized definition, BBC is characterized by high tumor grade, the expression of several markers normally restricted to the basal/myoepithelial compartment, epidermal growth factor receptor (EGFR) amplification in approximately 50% of cases, and the absence of ER and HER2 which are associated with luminal and HER2-amplified tumors, respectively.
  • EGFR epidermal growth factor receptor
  • 14-3-3sigma expression is elevated in pancreatic, colorectal, head and neck, and endometrial carcinomas, as well as in various epithelial cancers with squamous differentiation.
  • overexpression of 14-3-3sigma in the aforementioned HCTl 16 colorectal cancer cells promotes cell motility in migration assays which, in conjunction with an increased presence of 14-3-3sigma at the invasive front of tumors in patients, suggests an additional role for 14-3-3sigma independent of cell cycle regulation in facilitating colorectal tumor progression to invasive carcinoma ( Ide M, Saito K, Tsutsumi S, Tsuboi K, Yamaguchi S, Asao T, Kuwano H, Nakajima T: Over-expression of 14-3-3sigma in budding colorectal cancer cells modulates cell migration in the presence of tenascin-C.2007 Oncol Rep, 18(6): 1451-1456).
  • the 14-3-3 family of molecular scaffolds is comprised of seven known mammalian isoforms ( ⁇ > Y) ⁇ , ⁇ , ⁇ , ⁇ / ⁇ , and ⁇ ), and regulate pathways involved in growth factor signaling and cell cycle progression through binding and sequestering the subcellular distribution of numerous ligands (Aitken A: 14-3-3 proteins: a historic overview.2006 Semin Cancer Biol, 16(3):162- 172; Porter GW, Khuri FR, Fu H: Dynamic 14-3-3/client protein interactions integrate , survival and apoptotic pathways.2006 Semin Cancer Biol, 16(3): 193-202).
  • 14-3-3sigma is widely described as a breast tumor suppressor due to the high frequency of 14-3-3sigma downmodulation in breast cancer (Urano T, Saito T, Tsukui T, Fujita M, Hosoi T, Muramatsu M, Ouchi Y, Inoue S: Efp targets 14-3-3 sigma for proteolysis and promotes breast tumour growth.2002 Nature, 417(6891):871-875) and its function as an enforcer of the G2/M checkpoint [23, 24].
  • Activated AKT can interact with both actin and with 14-3-3sigma [66], and 14-3-3sigma has been shown to negatively regulate AKT in MCF-7 cells and to inversely correlate with AKT activity in tumors (Yang H, Wen YY, Zhao R, Lin YL, Fournier K, Yang HY, Qiu Y, Diaz J, Laronga C, Lee MH: DNA damage-induced protein 14- 3-3 sigma inhibits protein kinase B/Akt activation and suppresses Akt-activated cancer.2006 Cancer Res, 66(6):3096-3105). These studies suggest the existence of an alternative 14-3-3- dependent actin regulatory pathway by which AKT activated during chemotaxis is recruited to actin and may locally activate RhoA, but excessive AKT activity is suppressed directly by 14-3-3sigma or through AKT-dependent phosphorylation and activation of Kank, which downmodulates RhoA activity via 14-3-3 interaction.
  • 14-3-3sigma was initially described as a breast tumor suppressor silenced in about 80% of tumors.
  • 14-3-3sigma expression correlates with acquisition of tumorigenicity and invasiveness, and that 14-3-3sigma coordinates directional cell migration by directly inhibiting actin polymerization (in vitro and in situ) downstream of canonical signaling pathways, thus defining regions of actin assembly within cells.
  • actin polymerization in vitro and in situ
  • the present invention provides an assay for diagnosis of basal-like breast cancer comprising the steps of (a) obtaining a breast tissue sample, and (b) detecting a positive and/or elevated level of 14-3-3sigma expression in said breast tissue sample as compared to a reference, whereby such positive and/or elevated detection is a diagnosis of basal-like breast cancer.
  • the detecting can be carried out by fluorescence in situ hybridization (FISH), polymerase chain reaction (PCR), or RT-PCR, to detect 14-3-3sigma expression levels.
  • the detecting is by an immunohistochemical (IHC) analysis to detect 14-3-3sigma protein levels.
  • IHC immunohistochemical
  • a positive level of 14-3-3sigma is detected in IHC analysis if the 14-3-3sigma level detected in said breast tissue sample is greater than or equal to the levels observed in a myoepithelial cell tissue sample of the normal breast.
  • he present invention further provides a kit containing reagents to carry out the assay to detect basal-like cancer including instructions for carrying out any necessary steps.
  • the present invention describes a method for identifying an ER-negative cancer patient with poor prognosis, comprising: (a) measuring the expression level of 14-3-3sigma (SFN) gene in a sample from the patient; and (b) comparing the expression level of said gene from the patient with the expression level of the gene in a normal tissue sample or a reference expression level, whereby an increased expression level in said gene indicates a patient with poor prognosis.
  • SFN 14-3-3sigma
  • a compound to treat patients with elevated 14-3-3sigma expression wherein the compound is a 14-3-3sigma inhibitor.
  • the 14-3-3sigma inhibitor compound can be a small molecule that interferes with 14-3-3sigma function, a viral vector producing a nucleic acid sequence that inhibits 14-3-3sigma, an aptamer, an antisense oligonucleotide, a siRNA olumbleucleotide, or a peptide.
  • the siRNA oligonucleotide has a sequence of SEQ ID NOS: 7 and 8.
  • a method for causing actin bundling and inhibition of actin depolymerization in a cell comprising the steps of (a) providing a 14-3-3sigma inhibitor, and (b) delivering to the cell an effective amount of the 14-3-3sigma inhibitor, whereby the inhibitor blocks 14-3-3sigma interaction with actin and thereby causes acting bundling or inhibits actin depolymerization.
  • the 14-3-3sigma inhibitor can be a blocking or dominant- negative peptide, protein, or peptidomimetic; an antisense oligonucleotide; a siRNA olignonucleotide; a small molecule that interferes with 14-3-3sigma function; a viral vector producing a nucleic acid sequence that inhibits 14-3-3sigma; or an aptamer.
  • the present invention further provides a method for inhibiting metastasis of a cell in a patient comprising administering a therapeutic, wherein the therapeutic interferes with 14-3- 3-mediated interaction with actin, 14-3-3 dimerization, or wherein the therapeutic stabilizes interaction between 14-3-3sigma and proteins other than actin.
  • a method of treatment to reduce or inhibit invasiveness of malignant cells and reduce tumor volume and/or formation comprising the steps of (1) providing a 14-3-3sigma inhibitor capable of blocking 14-3-3sigma interaction with actin and (b) administering an effective amount of the 14-3-3sigma inhibitor to block 14-3-3sigma interaction with actin, whereby blocking the interaction results in a reduction or inhibition of invasiveness of malignant cells and a reduction in tumor volume and/or formation.
  • the 14-3- 3sigma inhibitor can be a blocking or dominant-negative peptide, protein, or peptidomimetic; an antisense oligonucleotide; a siRNA olignonucleotide; a small molecule that interferes with 14-3-3sigma function; a viral vector producing a nucleic acid sequence that inhibits 14-3- 3sigma; or an aptamer.
  • Figure 1 14-3-3sigma increases during HMT-3522 basal-like breast tumor progression, is highly expressed at the tumor invasive front in vivo, and contributes to motility and invasiveness.
  • A Western blot analysis of lysates from the HMT-3522 series when grown on two-dimensional tissue culture (2D) or on top of three-dimensional IrECM (3D IrECM), showing 14-3-3sigma gradually increases in the series when cells are grown both in 2D and in 3D IrECM. Actin and E-cadherin are provided as loading controls.
  • T4-2 cells expressing shRNA hairpins targeting 14-3-3sigma have greater than 80% reduction on the protein level (left) relative to cells expressing scrambled shRNAs (sh-scr), have decreased motility in scratch assays (middle), and have decreased invasiveness through lrECM-coated transwell inserts (right).
  • Error bars represent the standard error of the mean (SEM), statistical significance was calculated using a two- tailed Student's t test (* p ⁇ 0.05, ** p ⁇ 0.01).
  • FIG. 1 14-3-3sigma inhibits actin polymerization in a ligand-binding mechanism.
  • T4-2 cells with reduced 14-3-3sigma (sh-14-3-3sigma) have more polymerized actin than cells expressing scrambled hairpins (sh-scr) as visualized by phalloidin staining.
  • sh-scr scrambled hairpins
  • F-actin inhibition by 14-3-3sigma occurs downstream of canonical cytoskeletal signaling (see figure 7).
  • Scale bar 20 ⁇ m.
  • the mutant 14-3-3sigma is able to dimerize, but is missing two helices known to interact with ligand (not shown to scale).
  • FIG. 3 14-3-3sigma interacts directly with actin and inhibits its polymerization into F-actin in vitro and in situ to define the boundary of actin architecture within cells.
  • a GST pull-down showing that recombinant GST- 14-3- 3sigma, but not GST tag, interacts directly with purified actin in vitro.
  • B G-actin pretreatment with GST-14-3-3sigma inhibits subsequent polymerization into F-actin. This was observed by (i) fractionating the residual G-actin from F-actin following polymerization, and by (ii) polymerizing AlexaFluor488-conjugated G-actin (488-G-actin) and imaging F- actin fibrils by confocal microscopy.
  • Quantification is the residual G-actin pool remaining following polymerization, relative to pretreatment with GST. Error bars represent the standard error of the mean (SEM), statistical significance was calculated using a two-tailed Student's t test (* ⁇ * p ⁇ 0.001).
  • C In situ actin polymerization was measured by permeabilizing cells with saponin, introducing 488-G-actin in the presence of ATP, then counterstaining endogenous F- actin with phalloidin. Pretreatment with GST-14-3-3sigma significantly inhibits 488-G-actin incorporation in cells with low endogenous 14-3-3sigma (BT549).
  • Quantification is the ratio of incorporated 488-G-actin to endogenous F-actin, relative to values obtained by pretreating 488-G-actin with GST in the respective cell lines. Error bars represent the standard error of the mean (SEM), statistical significance was calculated using a two-tailed Student's t test (*** p ⁇ 0.001, ns p > 0.05).
  • D F-actin and 14-3-3sigma subcellular distributions are mutually-exclusive, as shown by XY, YZ, and XZ projections. Scale bar: 5 ⁇ m. [024]
  • Figure 4 14-3-3sigma polarizes away from the cell leading edge during directional migration to allow dynamic actin polymerization and reorganization.
  • Figure 5 14-3-3sigma expression correlates with decreased patient survival, increased breast cancer recurrence, and with tumor dissemination.
  • Figure 6 14-3-3sigma increases during MCFlO tumor progression and contributes to cell motility and stellate morphogenesis.
  • A Western blot analysis of lysates from the MCFlO series. Actin and E-cadherin are provided as loading controls. 14-3- 3sigma gradually increases in the series during tumor progression, as is the case for the HMT-3522 series.
  • FIG. 7 14-3-3sigma perturbation in T4-2 cells does not influence actin cytoskeletal signaling nor induce epithelial to mesenchymal transition.
  • Figure 8 YFP-14-3-3sigma and LifeAct-mCherry distributions are mutually- exclusive and are comparable to their endogenous counterparts, while untagged mCherry is distributed throughout the cell.
  • Figure 9 14-3-3sigma subcellular polarity persists throughout cell migration.
  • Cells expressing YFP-14-3-3sigma and LifeAct-mCherry and which are actively migrating after 24 hours still have polarized 14-3-3sigma distribution away from the leading edge of the cell, suggesting that continual (rather than transient) 14-3-3sigma polarization occurs during cell migration.
  • Scale bar 20 ⁇ m.
  • FIG. 10 Endogenous 14-3-3sigma polarizes away from F-actin present at the leading edge of a cell during migration.
  • T4-2 cells were grown to a confluent monolayer, scratched with a pipet tip, and migratory cells were fixed and stained 12 hours later to measure endogenous F-actin and 14-3-3sigma distributions.
  • Migratory cells facing the scratch area are polarized such that 14-3-3sigma is away from the leading edge of cell migration, whereas stationary cells far from the scratch area show no 14-3-3sigma polarization.
  • Scale bar 20 ⁇ m.
  • Figure 11 Patients with 14-3-3sigma-positive tumors have worse 5-year prognosis than patients with 14-3-3sigma-negative tumors. Recurrence-free and metastasis-free Kaplan-Meier survival curves for the Institute of Cancer Research cohort grouped by 14-3-3sigma immunoreactivity. 14-3-3sigma positivity (14-3-3sigma high) correlates with shorter 5-year recurrence-free and metastasis-free patient survival than 14-3- 3sigma low patients. P values for survival curves were calculated using the log-rank test. [032] Table 1: Correlations between 14-3-3sigma immunoreactivity and clinic- histological parameters in 245 cases of invasive breast carcinoma.
  • compositions and methods that are based on the novel finding of a direct interaction between 14-3-3sigma and actin downstream or independent of these pathways, in that 14-3-3sigma alone can bind to actin and inhibits its polymerization. To our knowledge, this is the first biochemical demonstration of any 14-3-3 family member regulating actin dynamics independent of other actin-regulatory factors.
  • 14-3-3sigma is contemplated to be a biomarker for basal, or basal-like cancers in any epithelial tissue showing elevated 14-3-3sigma expression including but not limited to tissues such as breast, ovary, prostate, lung, pancreatic, bladder, colorectal, endometrial, head and neck, skin, squamous, and other epithelial and myoepithelial tissues.
  • 14-3-3sigma is a marker of basal or basal-like breast cancer.
  • BBC tumors are aggressive in their pathology, correlate with poor patient outcome, and as they are negative for ER and HER2 and lack consensus biomarkers for their detection, BBC cases have limited options for current clinical management.
  • a proposed BBC histological surrogate is the "triple-negative" (ER-, PR- and HER2-negative) immunoprofile, however it is well accepted that while triple-negative and BBC tumors do share some degree of pathological overlap, they are not interchangeable terms.
  • hormone receptor and HER2 staining is not without its caveats, as heterogeneity within tumors and technical differences in tissue processing and interpretation can yield false negatives - presence of a specific marker is much preferred over absence of all markers.
  • Other common BBC criteria include ER-negativity and positivity for basal cytokeratins (Ck5/6, Ckl4, CkI 7), EGFR, or other myoepithelial markers such as p63 and P-cadherin, though many of these markers lack in sensitivity, specificity, or it is unclear how they could be drivers of tumorigenesis rather than passengers.
  • TMA tissue microarray
  • 14-3-3sigma is a BBC histological biomarker with high sensitivity (70%; 16/23 basal tumors positive) and specificity (91%; 15/164 non-basal tumors positive).
  • 14-3-3sigma positivity provided a predictive prognostic value of 94% ( ⁇ 6% false positives) for correctly identifying BBC cases.
  • 14-3-3sigma expression was found to be highest in patients with basal-like breast cancer, having positive correlation with every basal histological marker investigated and inverse correlation with luminal biomarkers.
  • 14-3-3sigma represents the first "functional biomarker" of BBC which may contribute directly to tumor dissemination by modulating actin dynamics, making 14-3- 3sigma a promising target of therapeutic intervention for patients with BBC.
  • 14-3-3sigma In two independent isogenic cell culture models recapitulating many features of BBC progression, we identify 14-3-3sigma as a protein that becomes highly expressed as cells lines become more aggressive and tumorigenic, and show that 14-3-3sigma contributes to directional cell migration by directly interacting with actin and inhibits the polymerization of G-actin into F-actin to define actin assembly boundaries within cells.
  • 14-3-3sigma can be used as a predictive marker or serum marker for basal breast cancer detection. Assessment of amplification at Iq36.1 lean be readily detected by methods known in the art.
  • a prognostic method for predicting the outcome of a patient by detection of 14-3-3sigma overexpression in a patient tissue or biopsy is another embodiment.
  • detection of increased expression of 14-3- 3sigma indicates the presence of aggressive or metastatic cancers, i.e., the presence of cells in the tissue that will increase tumor progression and metastasize to other tissues.
  • 14-3-3sigma was determined to be involved in acquisition of invasiveness in culture in basal breast cancers.
  • 14-3-3sigma which is also known as the gene stratifin (SFN) is a gene target for development of therapeutics and diagnostic assays.
  • SFN gene stratifin
  • elevated 14-3-3sigma expression can be detected using methods known in the art. It is contemplated that elevated 14-3-3sigma expression can be detected in a subject by testing various tissues and bodily fluids, including but not limited to tissue biopsy, blood and serum.
  • elevated 14-3-3sigma expression is detected using fluorescent in situ hybridization (FISH) to detect human chromosomal Ip36.11 amplification or 14-3-3sigma amplification.
  • FISH fluorescent in situ hybridization
  • probes that hybridize to the Ip36.11 region or the genomic sequence flanking 14-3-3sigma in GenBank Accession No. NC_000001.9 GI:89161 185, hereby incorporated by reference. Probes can be created based upon the sequences of 14-3-3sigma using methods known in the art.
  • Other useful sequences for making probes and other sequences in the present invention include but are not limited to, NM_006142.3 GI:45238846 (Homo sapiens stratifin SFN mRNA) (SEQ ID NO: 2); hereby incorporated by reference.
  • probes can be created by methods known in the art based upon the sequence of 14-3-3sigma in SEQ ID NOs: 1 or 2.
  • the expression level of a gene encoding 14-3-3sigma can be measured using an oligonucleotide derived from the nucleotide sequence of SEQ ID NO:1 or 2.
  • elevated 14-3-3sigma expression is detected using a PCR assay to detect 14-3- 3sigma amplification.
  • Primers can be created using the sequences of SEQ ID NOs: 1 or 2 or the GenBank cDNA or genomic sequences incorporated by reference, to detect 14-3-3sigma expression and amplification.
  • Elevated expression of 14-3-3sigma can be detected by methods such as gel electrophoresis, comparative genomic hybridization or using tissue or cDNA microarrays.
  • primers or oligonucleotides are generally 15-40 bp in length, and usually flank unique sequence that can be amplified by methods such as polymerase chain reaction (PCR) or reverse transcriptase PCR.
  • PCR polymerase chain reaction
  • reverse transcriptase PCR reverse transcriptase PCR.
  • elevated 14-3-3sigma expression is detected using an RT-PCR assay to detect 14-3-3sigma transcription levels.
  • the expression level of a gene is measured by measuring the amount or number of molecules of mRNA or transcript in a cell.
  • the measuring can comprise directly measuring the mRNA or transcript obtained from a cell, or measuring the cDNA obtained from an mRNA preparation thereof. Such methods of extracting the mRNA or transcript from a cell, or preparing the cDNA thereof are well known to those skilled in the art.
  • the expression level of a gene can be measured by measuring or detecting the amount of protein or polypeptide expressed, such as measuring the amount of antibody that specifically binds to the protein in a dot blot or Western blot.
  • the proteins described in the present invention can be overexpressed and purified or isolated to homogeneity and antibodies raised that specifically bind to each protein. Such methods are well known to those skilled in the art.
  • the expression level of a gene is measured from a sample from the patient that comprises essentially a cancer cell or cancer tissue of a cancer tumor. Such methods for obtaining such samples are well known to those skilled in the art.
  • the expression level of a gene is measured from a sample from the patient that comprises essentially a breast cancer cell or breast cancer tissue of a breast cancer tumor.
  • the method further comprises measuring the expression level of 14-3-3sigma of the patients in order to determine whether the patient is an 14-3- 3sigma-positive patient.
  • Methods of assaying for 14-3-3sigma protein (SEQ ID NO:4) overexpression include methods that utilize immunohistochemistry (IHC) and methods that utilize fluorescence in situ hybridization (FISH).
  • IHC test An example of a commercially available IHC test is PathVysion® (Vysis Inc., Downers Grove, 111.).
  • FISH test An example of a commercially available FISH test is DAKO HercepTest® (DAKO Corp., Carpinteria, Calif.).
  • elevated 14-3-3sigma expression is detected using an immunochemical assay to detect 14-3-3sigma protein levels.
  • Anti-14-3-3sigma specific antibodies can be made by general methods known in the art. A preferred method of generating these antibodies is by first synthesizing peptide fragments. Peptide fragments can also be generated by using short sequences of the 14-3-3sigma protein, found at GenBank Accession Nos.
  • the 14-3-3sigma protein sequence can be found in GenBank Accession No: CAG46724.1 GI:49456807 (SEQ ID NO:4), which is hereby incorporated by reference and at Swiss-Prot P31947.1 GI:398953 (SEQ ID NO:3), the contents of the entry which are hereby incorporated by reference. [050] Since synthesized peptides are not always immunogenic by their own, the peptides should be conjugated to a carrier protein before use.
  • Appropriate carrier proteins include but are not limited to Keyhole limpet hemacyanin (KLH).
  • KLH Keyhole limpet hemacyanin
  • the conjugated phospho peptides should then be mixed with adjuvant and injected into a mammal, preferably a rabbit through intradermal injection, to elicit an immunogenic response.
  • Samples of serum can be collected and tested by ELISA assay to determine the titer of the antibodies and then harvested.
  • Polyclonal (e.g., anti-14-3-3sigma) antibodies can be purified by passing the harvested antibodies through an affinity column. Monoclonal antibodies are preferred over polyclonal antibodies and can be generated according to standard methods known in the art of creating an immortal cell line which expresses the antibody.
  • Nonhuman antibodies are highly immunogenic in human and that limits their therapeutic potential. In order to reduce their immunogenicity, nonhuman antibodies need to be humanized for therapeutic application. Through the years, many researchers have developed different strategies to humanize the nonhuman antibodies. One such example is using "HuMAb-Mouse” technology available from MEDAREX, Inc. and disclosed by van de Winkel, in U.S. Pat. No. 6,111 ,166 and hereby incorporated by reference in its entirety. "HuMAb-Mouse” is a strain of transgenic mice which harbor the entire human immunoglobin (Ig) loci and thus can be used to produce fully human monoclonal antibodies such as monoclonal anti-14-3-3sigma antibodies.
  • Ig human immunoglobin
  • 14-3-3sigma could be included in a panel of several different antibodies, cDNA oligonucleotides, or other probes that have been demonstrated to correlate with breast cancer clinical outcome, chemotherapeutic response, and/or molecular subtypes of breast cancer, in order to improve the diagnosis, classification of molecular subtype, determination of therapeutic options, and to evaluate who will respond to chemotherapy or see no additional benefit.
  • probes including but not limited to antibodies or cDNA, to these targets can be immobilized on an array or a surface using conjugation techniques available to those skilled in the art, and proteins or RNA from tumor biopsies which associate with the antibodies or cDNA probes are assayed.
  • the surface can be made of materials comprising a membrane, polystyrene, glass, metal or other surfaces.
  • the surface can be any shape, for example, planar, spherical beads, the inner surface of a capillary, etc.
  • 14-3-3sigma expression alone could be used to predict patient outcome, disease progression, molecular subtype, and response to treatment as shown in the examples.
  • Kaplan-Meier analysis indicates that detection of high levels of 14-3-3sigma increased expression predicts patient outcome.
  • the invention further provides for a method for identifying a cancer patient suitable for treatment with a 14-3-3sigma inhibitor, comprising: (a) measuring the expression level of 14-3-3sigma in a sample from the patient; and (b) comparing the expression level of said gene from the patient with the expression level of the gene in a normal tissue sample or a reference expression level (such as the average expression level of the gene in a cell line panel or a cancer cell or tumor panel, or the like), wherein an increase in the expression level of 14-3-3sigma indicates the patient is suitable for treatment with 14-3-3sigma inhibitor.
  • the present invention also provides a validated method for prognosis of basal breast cancer comprising: (a) obtaining a tissue biopsy from a patient; (b) detecting a positive level of 14-3-3sigma protein in said tissue; and (c) comparing said gene expression level to known levels of gene expression measured in a normal primary tissue of a cancer patient; whereby if said gene expression level of 14-3-3sigma is elevated as compared to said normal primary tissue, then the predictive outcome of a patient is poor.
  • the invention provides 14-3-3sigma as a biomarker of basal cancer, and more specifically basal breast cancer. Basal-like breast cancer accounts for 15-20% of breast carcinomas, and is the most aggressive of breast cancer subtypes.
  • the basal subtype lacks consensus functional biomarkers that contribute to disease progression and which could be therapeutically targeted.
  • Patients with basal cancers tend to have the worst outcome.
  • Current targeted therapeutics such as tamoxifen and HerceptinTM are available for patients having other molecular subtypes of breast cancer, such as luminal and HER2-amplified, respectively, though such targeted therapies are unavailable for basal breast cancer.
  • the present invention provides compositions and methods for detecting 14-3-3sigma as a biomarker for basal cancers to aid clinicians in providing unnecessary therapy for these patients.
  • the 14-3-3sigma antibodies described above can be incorporated into a panel of antibodies used by pathologists to detect amplification of a set of biomarkers to inform clinicians on the type or subtype of cancer detected.
  • a positive level of the biomarker detected by IHC would indicate the type or subtype of cancer.
  • a positive level can be any detection level above a pre-determined threshold level in a normal tissue or sample and/or by a positive or negative control.
  • the panel of biomarkers can comprise breast cancer markers including but not limited, 14-3-3sigma, estrogen receptor (ER), progesterone (PR), EGFR, HER2, and other actin-binding or metastatic biomarkers.
  • a cancer found to be 14-3-3- sigma (+) and for example, ER(-)/PR(-)/HER2(-) a determination can be made that the present cancer is basal breast cancer, and the clinician informed.
  • Such a determination made early in prognosis can result in a more aggressive, different standard of care and more effective treatment provided to the patient including a lumpectomy or mastectomy followed by adjuvant administration of chemotherapeutics, ideally agents targeting 14-3-3sigma, and close monitoring for early signs of metastasis.
  • chemotherapeutics ideally agents targeting 14-3-3sigma
  • close monitoring for early signs of metastasis Such a patient would not be given ER/HER2 therapy such as herceptin or tamoxi fen-based therapies, which are not effective in BBC patients.
  • the typical standard of care can be adjusted and more aggressive therapies can be pursued immediately once a cancer has been detected as 14-3-3sigma positive (+).
  • a method for identifying a basal cancer patient with poor prognosis comprising: (a) measuring the expression level of the 14-3-3sigma gene in a sample from the patient; and (b) comparing the expression level of said gene from the patient with the expression level of the gene in a normal tissue sample or a reference expression level, whereby an increased expression level in said gene indicates a patient with poor prognosis.
  • the expression of 14-3-3sigma is modulated or manipulated.
  • treatment of premalignant amplified cells with inhibitors against 14-3-3sigma should result in the inhibition of the 14-3-3sigma gene and reduce or inhibit invasiveness of malignant cells and reduce tumor volume and/or formation.
  • the compound is a 14-3-3sigma inhibitor such as a blocking or dominant-negative peptide, protein, or peptidomimetic; an antisense oligonucleotide; a siRNA olignonucleotide; a small molecule that interferes with 14-3-3sigma function; a viral vector producing a nucleic acid sequence that inhibits 14-3-3sigma; or an aptamer.
  • 14-3-3sigma expression could be selectively targeted using RNA interference or other methods in order to decrease tumor cell invasion and eventual metastasis.
  • cells were shown to have decreased migration and invasion in culture assays when deficient in 14-3-3sigma expression.
  • T4-2 sh-14-3-3 ⁇ T4-2 cells having disrupted expression of 14-3-3sigma
  • T4-2 sh-scrambled T4-2 sh-scrambled
  • 14-3-3sigma modulation can be made using optimized siRNAs. See Hannon, G. J. RNA interference (2002); Plasterk, R. H. in Science 1263-5 (2002); and Elbashir, S. M. et al. in Nature 494-8 (2001). Strong Pearson correlations between target gene amplification/expression levels and pro-apoptotic effects of siRNAs will indicate that copy number/expression levels determine the extent of apoptotic responses to target gene inhibitors.
  • High throughput methods can be used to identify 14-3-3sigma inhibitors such as siRNA and/or small molecular inhibitor formulations to deliver 14-3-3sigma (and other) inhibitors efficiently to cultured cells and xenografts.
  • 14-3-3sigma (and other) inhibitory formulations will be preferentially effective against xenografts that are amplified at the target loci and that these will enhance response to platinum and taxane compounds. Effective formulations using such methods as described herein or in the examples may be developed for clinical application.
  • HTS high throughput screening
  • methods are used to identify compounds that inhibit or modulate 14-3-3sigma expression and/or activity.
  • HTS methods involve providing a combinatorial chemical or peptide library containing a large number of potential therapeutic compounds (i.e., compounds that inhibit 14-3-3sigma). Such "libraries” are then screened in one or more assays, as described herein, to identify those library members (particular peptides, chemical species or subclasses) that display the desired characteristic activity.
  • the compounds thus identified can serve as conventional "lead compounds” or can themselves be used as potential or actual therapeutics.
  • a combinatorial chemical library is a collection of diverse chemical compounds generated by either chemical synthesis or biological synthesis, by combining a number of chemical "building blocks" such as reagents.
  • a linear combinatorial chemical library such as a polypeptide library is formed by combining a set of chemical building blocks (amino acids) in every possible way for a given compound length (i.e., the number of amino acids in a polypeptide compound). Millions of chemical compounds can be synthesized through such combinatorial mixing of chemical building blocks.
  • Preparation and screening of combinatorial chemical libraries is well known to those of skill in the art. Such combinatorial chemical libraries include, but are not limited to, peptide libraries (see, e.g., U.S.
  • Other chemistries for generating chemical diversity libraries can also be used. Such chemistries include, but are not limited to: peptoids (e.g., PCT Publication No. WO 91/19735), encoded peptides (e.g., PCT Publication WO 93/20242), random bio-oligomers (e.g., PCT Publication No. WO 92/00091), benzodiazepines (e.g., U.S. Pat. No.
  • Patent 5,539,083) antibody libraries (see, e.g., Vaughn et al., Nature Biotechnology, 14(3):309-314 (1996) and PCT/US96/ 10287), carbohydrate libraries (see, e.g., Liang et al., Science, 274:1520-1522 (1996) and U.S. Patent 5,593,853), small organic molecule libraries (see, e.g., benzodiazepines, Baum C&EN, Jan 18, page 33 (1993); isoprenoids, U.S. Patent 5,569,588; thiazolidinones and metathiazanones, U.S. Patent 5,549,974; pyrrolidines, U.S. Patents 5,525,735 and 5,519,134; morpholino compounds, U.S. Patent 5,506,337; benzodiazepines, 5,288,514, and the like).
  • antibody libraries see, e.g., Vaughn et al., Nature Biotechnology
  • down regulation of 14- 3-3sigma at Ip36.1 1 will be made using inhibitors preferentially toxic to cells detected as having overamplified 14-3-3sigma. It is contemplated that such down regulation will result in loss or decrease in invasiveness of malignant cells, decrease in tumor volume and/or tumor formation.
  • the 14-3-3sigma inhibitor is fusicoccin and/or its related family members, including but not limited to Cotylenin A, Fusicoccin A, and their metabolites, or the derivatives of above compounds designed to improve biocompatibility, bioavailability, stability, metabolism, or target specificity. These compounds stabilize the interaction between 14-3-3sigma and its ligands, thus it is predicted these compounds would deplete the cellular pool of 14-3-3sigma available to inhibit actin polymerization and thereby inhibit metastasis.
  • Cotylenin A stabilizes the interaction between 14-3-3 and ligands at C-terminal helices shown in Figure 2 to be involved in binding to actin.
  • the inhibitors are agents which promote ubiquitination of 14- 3-3sigma by EFP or other enzymes responsible for proteasomal degradation or the derivatives of above compounds designed to improve biocompatibility, bioavailability, stability, metabolism, or target specificity.
  • the inhibitors are agents which promote 14-3-3 promoter methylation to silence 14-3-3 gene expression or the derivatives of above compounds designed to improve biocompatibility, bioavailability, stability, metabolism, or target specificity
  • 14-3-3sigma peptides and peptidomimetics can be used which approximate either the 14-3-3 phospholigand, the regions of actin involved in 14-3-3 interaction, or which inhibit 14-3-3sigma homodimerization, as well as their metabolites and derivatives of the above peptidomimetics that are designed to improve biocompatibility, bioavailability, stability, metabolism, target specificity, or to better approximate the three-dimensional architecture of the peptide as it exists within the 14-3-3 ligand (be it actin, 14-3-3 itself, or other 14-3-3 ligands).
  • peptides can be designed as inhibitors of 14-3-3 to either directly (block 14-3-3 active site to prevent interaction with actin) or indirectly (prevent 14-3-3 dimerization), and thereby rendering actin inactive or to reduce or inhibit actin polymerization.
  • the peptides of the present invention are designed to have actin-binding activity, such that administration of the peptides results in reduced tumor growth/formation and loss of metastatic activity of basal cancer cells.
  • Peptidomimetics can be made using methods known in the art based on the binding region of the 14-3-3sigma protein such as SEQ ID NO:5. Peptidomimetics can be generated by using short sequences of the 14-3-3sigma protein, found at GenBank Accession Nos.
  • the 14-3-3sigma protein sequence can be found in GenBank Accession No: CAG46724.1 GI:49456807 (SEQ ID NO:4), which is hereby incorporated by reference.
  • the peptide comprises the amino acids 203-241 of 14-3-3sigma. Residues 203-241 of 14-3-3sigma are involved in binding actin, as a truncated version of the protein is unable to rescue the actin phenotype observed following knockdown of endogenous 14-3-3sigma (see Figure 2). The deletion eliminated the amino acids 203-241, which comprise two helices and an acidic region known to be important for 14-3-3 interaction with ligands based on the 14-3-3sigma::ligand crystal structure. Only wild-type 14-3-3sigma was able to rescue the knockout animals showing that this region of 14-3-3sigma is crucial for 14- 3-3sigma activity.
  • the peptimomimetic comprises a sequence substantially homologous to a portion of the sequence:
  • the peptimomimetic comprises a sequence substantially identical to a portion of the sequence of SEQ ID NO:5.
  • substantially identical is herein used to mean having an amino acid sequence which differs only by conservative amino acid substitutions or by non-conservative amino acid substitutions, deletions, or insertions located at positions which do not destroy the biological activity of the peptide.
  • substantially homologous refers to a percent homology of at least 80%, more preferably 85%, even more preferably 90%, up to 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, 99.5%, 99.8%, and 99.9% homology.
  • peptidomimetics that are about 15-40 amino acids in length and substantially homologous to SEQ ID NO:5.
  • the peptidomimetic is about 15-40 amino acids in length and derived from SEQ ID NO:5.
  • the peptides include peptides can also be designed with conservative substitutions to SEQ ID NO:5 without sacrificing activity.
  • non-polar Ala, VaI, Leu, He, Phe, Trp, Pro, Met
  • acidic Asp, GIu
  • basic Lys, Arg, His
  • neutral GIy, Ser, Thr, Cys, Asn, GIn, Tyr.
  • a non-conservative amino acid substitution is one where the residues do not fall into the same class, for example, substitution of a basic amino acid for a neutral or non-polar amino acid.
  • the invention thus further provides a method of treating a subject suffering from a disease characterized by cells having neoplastic growth, said method comprising a step of administering to the subject a therapeutically effective amount of the composition.
  • the subject is a human and the peptide is administered at a therapeutic dosage, for example, 0.1 to 0.5 ml, one to five times per week.
  • the present peptides may be formulated according to known pharmaceutical technology. They may be administered singly or in combination, and may further be administered in combination with other cancer or actin-binding drugs.
  • peptides may be conventionally prepared with excipients and stabilizers in sterilized, lyophilized powdered form for injection, or prepared with stabilizers and peptidase inhibitors of oral and gastrointestinal metabolism for oral administration.
  • the peptides can be prepared with additives or fused to carrier molecules that would increase peptide efficacy and cell entry.
  • Peptides containing naturally occurring amino acids may be produced intracellular ⁇ by introduction of DNA or RNA constructs.
  • RNA interference is used to generate small double-stranded RNA (small interference RNA or siRNA) inhibitors to affect the expression of a candidate gene generally through cleaving and destroying its cognate RNA.
  • siRNA Small interference RNA
  • siRNA is typically 19-22 nt double-stranded RNA.
  • siRNA can be obtained by chemical synthesis or by DNA-vector based RNAi technology.
  • DNA vector based siRNA technology a small DNA insert (about 70 bp) encoding a short hairpin RNA targeting the gene of interest is cloned into a commercially available vector.
  • the insert-containing vector can be transfected into the cell, and expressing the short hairpin RNA.
  • the hairpin RNA is rapidly processed by the cellular machinery into 19-22 nt double stranded RNA (siRNA).
  • the siRNA is inserted into a suitable RNAi vector because siRNA made synthetically tends to be less stable and not as effective in transfection.
  • siRNA can be made using methods and algorithms such as those described by Wang L, Mu FY. (2004) A Web-based Design Center for Vector-based siRNA and siRNA cassette. Bioinformatics. (In press); Khvorova A, Reynolds A, Jayasena SD. (2003) Functional siRNAs and miRNAs exhibit strand bias. Cell. 115(2):209-16; Harborth J, Elbashir SM, Vandenburgh K, Manninga H, Scaringe SA, Weber K, Tuschl T. (2003) Sequence, chemical, and structural variation of small interfering RNAs and short hairpin RNAs and the effect on mammalian gene silencing. Antisense Nucleic Acid Drug Dev.
  • siRNA are suggested to be built using the ORF (open reading frame) as the target selecting region, preferably 50-100 nt downstream of the start codon.
  • siRNAs function at the mRNA level, not at the protein level, to design an siRNA, the precise target mRNA nucleotide sequence may be required. Due to the degenerate nature of the genetic code and codon bias, it is difficult to accurately predict the correct nucleotide sequence from the peptide sequence. Additionally, since the function of siRNAs is to cleave mRNA sequences, it is important to use the mRNA nucleotide sequence and not the genomic sequence for siRNA design. However, designs using genomic information might inadvertently target introns and as a result the siRNA would not be functional for silencing the corresponding mRNA.
  • Rational siRNA design should also minimize off-target effects which often arise from partial complementarity of the sense or antisense strands to an unintended target. These effects are known to have a concentration dependence and one way to minimize off-target effects is often by reducing siRNA concentrations. Another way to minimize such off-target effects is to screen the siRNA for target specificity.
  • the siRNA can be modified on the 3' or 5'-end of the sense strand to present compounds such as fluorescent dyes, chemical groups, or polar groups.
  • primers be designed to bracket one of the siRNA cleavage sites as this will help eliminate possible bias in the data (i.e., one of the primers should be upstream of the cleavage site, the other should be downstream of the cleavage site). Bias may be introduced into the experiment if the PCR amplifies either 5' or 3' of a cleavage site, in part because it is difficult to anticipate how long the cleaved mRNA product may persist prior to being degraded. If the amplified region contains the cleavage site, then no amplification can occur if the siRNA has performed its function.
  • the 14-3-3sigma siRNA oligonucleotide targets the
  • the 14-3-3sigma siRNA oligonucleotide sequences are
  • antisense oligonucleotides can be designed to inhibit 14-3-3sigma and other candidate gene function.
  • Antisense oligonucleotides are short single-stranded nucleic acids, which function by selectively hybridizing to their target mRNA, thereby blocking translation. Translation is inhibited by either RNase H nuclease activity at the DNA:RNA duplex, or by inhibiting ribosome progression, thereby inhibiting protein synthesis. This results in discontinued synthesis and subsequent loss of function of the protein for which the target mRNA encodes.
  • antisense oligos are phosphorothioated upon synthesis and purification, and are usually 18-22 bases in length. It is contemplated that the 14-3-
  • 3sigma and other candidate gene antisense oligos may have other modifications such as 2'-O-
  • active antisense oligos should be compared against control oligos that have the same general chemistry, base composition, and length as the antisense oligo. These can include inverse sequences, scrambled sequences, and sense sequences. The inverse and scrambled are recommended because they have the same base composition, thus same molecular weight and Tm as the active antisense oligonucleotides.
  • Rational antisense oligo design should consider, for example, that the antisense oligos do not anneal to an unintended mRNA or do not contain motifs known to invoke immunostimulatory responses such as four contiguous G residues, palindromes of 6 or more bases and CG motifs.
  • Antisense oligonucleotides can be used in vitro in most cell types with good results. However, some cell types require the use of transfection reagents to effect efficient transport into cellular interiors. It is recommended that optimization experiments be performed by using differing final oligonucleotide concentrations in the l-5 ⁇ m range with in most cases the addition of transfection reagents.
  • the window of opportunity i.e., that concentration where you will obtain a reproducible antisense effect, may be quite narrow, where above that range you may experience confusing non-specific, non-antisense effects, and below that range you may not see any results at all.
  • down regulation of the targeted mRNA sequence e.g.
  • antisense oligonucleotides should be re-suspended in sterile nuclease- free water (the use of DEPC-treated water is not recommended). Antisense oligonucleotides can be purified, lyophilized, and ready for use upon re-suspension. Upon suspension, antisense oligonucleotide stock solutions may be frozen at -20 0 C and stable for several weeks.
  • aptamer sequences which bind to specific RNA or DNA sequences can be made.
  • Aptamer sequences can be isolated through methods such as those disclosed in co-pending U.S. Patent Appl. Pub No. US-2009-0075834-A1, entitled, "Aptamers and Methods for their In vitro Selection and Uses Thereof," which is hereby incorporated by reference.
  • Aptamers (DNA, peptide-based, or otherwise) structurally mimicking the regions of actin that either bind to 14-3-3 ligand interaction site, inhibit 14-3-3 dimerization, or stabilize the interaction of 14-3-3 with proteins other than actin, the metabolites of the above, or the derivatives of above compounds designed to improve biocompatibility, bioavailability, stability, metabolism, or target specificity. Depending on the design, these could inhibit 14-3- 3::actin interaction as described above.
  • sequences described herein may be varied to result in substantially homologous sequences which retain the same function as the original.
  • a polynucleotide or fragment thereof is “substantially homologous” (or “substantially similar”) to another if, when optimally aligned (with appropriate nucleotide insertions or deletions) with the other polynucleotide (or its complementary strand), using an alignment program such as BLASTN (Altschul, S.F., Gish, W., Miller, W., Myers, E. W. & Lipman, D.J. (1990) "Basic local alignment search tool.” J. MoI Biol. 215:403-410), and there is nucleotide sequence identity in at least about 80%, preferably at least about 90%, and more preferably at least about 95-98% of the nucleotide bases.
  • 14-3-3sigma inhibitors such as the siRNA 14-3- 3sigma inhibitor described herein can also be expressed recombinantly.
  • the nucleic acid sequences encoding 14-3-3sigma inhibitors such as the siRNA 14-3-3sigma inhibitor and related nucleic acid sequence homologues can be cloned.
  • This aspect of the invention relies on routine techniques in the field of recombinant genetics.
  • the nomenclature and the laboratory procedures in recombinant DNA technology described herein are those well known and commonly employed in the art. Standard techniques are used for cloning, DNA and RNA isolation, amplification and purification.
  • sequences of candidate genes are typically isolated from nucleic acid (genomic or cDNA) libraries by hybridizing with a nucleic acid probe, the sequence of which can be derived from publicly available genomic sequence.
  • RNA and genomic DNA can be isolated from any mammal including: primates such as humans, monkeys, and chimpanzees; rodents, including mice and rats.
  • Nucleic acids encoding 14-3-3sigma can also be isolated from expression libraries using antibodies as probes. Such polyclonal or monoclonal antibodies can be raised using, for example, the polypeptides comprising the sequences such as the 14-3-3sigma protein sequence set forth in GenBank Accession No. NP 006133, and subsequences thereof, using methods known in the art ⁇ see, e.g., Harlow and Lane, Antibodies: A Laboratory Manual (1988)).
  • Substantially identical nucleic acids encoding sequences of the candidate genes can be isolated using nucleic acid probes and oligonucleotides under stringent hybridization conditions, by screening libraries.
  • expression libraries can be used to clone these sequences, by detecting expressed homologues immunologically with antisera or purified antibodies made against the core domain of nucleic acids encoding sequences of the candidate genes which also recognize and selectively bind to the homologue.
  • Gene expression of the candidate genes amplified and found to be causal in acquisition of invasiveness can also be analyzed by techniques known in the art, e.g ., reverse transcription and amplification of mRNA, isolation of total RNA or poly A+ RNA, northern blotting, dot blotting, in situ hybridization, RNase protection, probing DNA microchip arrays, and the like.
  • nucleic acid sequences encoding 14-3-3sigma inhibitors such as the siRNA 14-3-3sigma inhibitor and related nucleic acid sequence homologues
  • one typically subclones an inhibitor peptide sequence e.g., nucleic acid sequences encoding 14-3-3sigma inhibitors such as a siRNA 14-3-3sigma sequence encoding SEQ ID NOS: 7-8
  • an inhibitor peptide sequence e.g., nucleic acid sequences encoding 14-3-3sigma inhibitors such as a siRNA 14-3-3sigma sequence encoding SEQ ID NOS: 7-8
  • the expression vector typically contains a strong promoter or a promoter/enhancer to direct transcription, a transcription/translation terminator, and for a nucleic acid encoding a protein, a ribosome binding site for translational initiation.
  • the promoter is operably linked to the nucleic acid sequence encoding 14-3-3sigma inhibitors such as the siRNA 14-3-3sigma inhibitor or a subsequence thereof.
  • Suitable bacterial promoters are well known in the art and described, e.g., in Sambrook et al. and Ausubel et al.
  • the elements that are typically included in expression vectors also include a replicon that functions in, a suitable host cell such as E.
  • antibiotic resistance to permit selection of bacteria that harbor recombinant plasmids, and unique restriction sites in nonessential regions of the plasmid to allow insertion of eukaryotic sequences.
  • the particular antibiotic resistance gene chosen is not critical, any of the many resistance genes known in the art are suitable.
  • the particular expression vector used to transport the genetic information into the cell is not particularly critical. Any of the conventional vectors used for expression in eukaryotic or prokaryotic cells may be used. Standard bacterial expression vectors include plasmids such as pBR322 based plasmids, pSKF, pET23D, and fusion expression systems such as GST and LacZ. Epitope tags can also be added to the recombinant 14-3-3sigma inhibitors peptides to provide convenient methods of isolation, e.g., His tags.
  • enzymatic cleavage sequences e.g., Met-(His)g-Ile-Glu-GLy-Arg which form the Factor Xa cleavage site
  • 14-3-3sigma inhibitor peptides Bacterial expression systems for expressing the 14-3-3sigma inhibitor peptides and nucleic acids are available in, e.g., E. coli, Bacillus sp., and Salmonella (Palva et al, Gene 22:229-235 (1983); Mosbach et al., Nature 302:543-545 (1983). Kits for such expression systems are commercially available.
  • Eukaryotic expression systems for mammalian cells, yeast, and insect cells are well known in the art and are also commercially available.
  • Standard transfection methods are used to produce cell lines that express large quantities of 14-3-3sigma inhibitor, which can then purified using standard techniques (see, e.g., Colley et al, J. Biol. Chem. 264:17619-17622 (1989); Guide to Protein Purification, in Methods in Enzymology, vol. 182 (Deutscher, ed., 1990)). Transformation of cells is performed according to standard techniques (see, e.g., Morrison, J. Bact.
  • any of the well known procedures for introducing foreign nucleotide sequences into host cells may be used. These include the use of calcium phosphate transfection, lipofectamine, polybrene, protoplast fusion, electroporation, liposomes, microinjection, plasma vectors, viral vectors and any of the other well known methods for introducing cloned genomic DNA, cDNA, synthetic DNA or other foreign genetic material into a host cell (see, e.g., Sambrook et al, supra).
  • the particular genetic engineering procedure used be capable of successfully introducing at least one gene into the host cell capable of expressing 14-3-3sigma inhibitor peptides and nucleic acids.
  • the transfected cells are cultured under conditions favoring expression of 14-3-3sigma inhibitors such as the siRNA 14-3-3sigma inhibitor and related nucleic acid sequence homologues.
  • 14-3-3sigma inhibitor peptides and nucleic acids of the present invention can be used to reduce or prohibit tumor volume and/or formation, and inhibit invasiveness of cancers, especially those found in basal cancers.
  • the peptides and nucleic acids are administered to a patient in an amount sufficient to elicit a therapeutic response in the patient (e.g., reduction of tumor size and growth rate, prolonged survival rate, reduction in concurrent cancer therapeutics administered to patient, inhibition of metastasis or invasiveness).
  • An amount adequate to accomplish this is defined as "therapeutically effective dose or amount.”
  • the peptides and nucleic acids of the invention can be administered directly to a mammalian subject using any route known in the art, including e.g., by injection (e.g., intravenous, intraperitoneal, subcutaneous, intramuscular, intratumoral or intradermal), inhalation, transdermal application, rectal administration, or oral administration.
  • the pharmaceutical compositions of the invention may comprise a pharmaceutically acceptable carrier.
  • Pharmaceutically acceptable carriers are determined in part by the particular composition being administered, as well as by the particular method used to administer the composition. Accordingly, there are a wide variety of suitable formulations of pharmaceutical compositions of the present invention (see, e.g., Remington's Pharmaceutical Sciences, 17th ed., 1989).
  • carrier includes any and all solvents, dispersion media, vehicles, coatings, diluents, antibacterial and antifungal agents, isotonic and absorption delaying agents, buffers, carrier solutions, suspensions, colloids, and the like.
  • solvents dispersion media, vehicles, coatings, diluents, antibacterial and antifungal agents, isotonic and absorption delaying agents, buffers, carrier solutions, suspensions, colloids, and the like.
  • the use of such media and agents for pharmaceutical active substances is well known in the art. Except insofar as any conventional media or agent is incompatible with the active ingredient, its use in the therapeutic compositions is contemplated. Supplementary active ingredients can also be incorporated into the compositions.
  • compositions that do not produce an allergic or similar untoward reaction when administered to a human.
  • pharmaceutically-acceptable refers to molecular entities and compositions that do not produce an allergic or similar untoward reaction when administered to a human.
  • the preparation of an aqueous composition that contains a protein as an active ingredient is well understood in the art.
  • such compositions are prepared as injectables, either as liquid solutions or suspensions; solid forms suitable for solution in, or suspension in, liquid prior to injection can also be prepared.
  • the preparation can also be emulsified.
  • Administration of the peptides and nucleic acids of the invention can be in any convenient manner, e.g., by injection, intratumoral injection, intravenous and arterial stents (including eluting stents), cather, oral administration, inhalation, transdermal application, or rectal administration.
  • the peptides and nucleic acids are formulated with a pharmaceutically acceptable carrier prior to administration.
  • Pharmaceutically acceptable carriers are determined in part by the particular composition being administered (e.g., nucleic acid or polypeptide), as well as by the particular method used to administer the composition. Accordingly, there are a wide variety of suitable formulations of pharmaceutical compositions of the present invention ⁇ see, e.g. , Remington 's Pharmaceutical Sciences, 17 tri ed., 1989).
  • the dose administered to a patient should be sufficient to effect a beneficial therapeutic response in the patient over time.
  • the dose will be determined by the efficacy of the particular vector (e.g. peptide or nucleic acid) employed and the condition of the patient, as well as the body weight or surface area of the patient to be treated.
  • the size of the dose also will be determined by the existence, nature, and extent of any adverse side-effects that accompany the administration of a particular peptide or nucleic acid in a particular patient.
  • the physician evaluates circulating plasma levels of the polypeptide or nucleic acid, polypeptide or nucleic acid toxicities, progression of the disease (e.g., ovarian cancer), and the production of antibodies that specifically bind to the peptide.
  • the dose equivalent of a polypeptide is from about 0.1 to about 50 mg per kg, preferably from about 1 to about 25 mg per kg, most preferably from about 1 to about 20 mg per kg body weight.
  • the dose equivalent of a naked c acid is from about 1 ⁇ g to about 100 ⁇ g for a typical 70 kilogram patient, and doses of vectors which include a viral particle are calculated to yield an equivalent amount of therapeutic nucleic acid.
  • polypeptides and nucleic acids of the present invention can be administered at a rate determined by the LD-50 of the polypeptide or nucleic acid, and the side-effects of the polypeptide or nucleic acid at various concentrations, as applied to the mass and overall health of the patient.
  • Administration can be accomplished via single or divided doses, e.g., doses administered on a regular basis (e.g., daily) for a period of time (e.g., 2, 3, 4, 5, 6, days or 1-3 weeks or more).
  • compositions comprising the 14-3-3sigma inhibitor peptides and nucleic acids disclosed herein parenterally, intravenously, intramuscularly, or even as described in U. S. Patent 5,543,158; U. S. Patent 5,641,515 and U. S. Patent 5,399,363.
  • Solutions of the active compounds as free base or pharmacologically acceptable salts may be prepared in water suitably mixed with a surfactant, such as hydroxypropylcellulose.
  • Dispersions may also be prepared in glycerol, liquid polyethylene glycols, and mixtures thereof and in oils. Under ordinary conditions of storage and use, these preparations contain a preservative to prevent the growth of microorganisms.
  • the pharmaceutical forms suitable for injectable use include sterile aqueous solutions or dispersions and sterile powders for the extemporaneous preparation of sterile injectable solutions or dispersions (U. S. Patent 5,466,468).
  • the carrier can be a solvent or dispersion medium containing, for example, water, ethanol, polyol (e.g., glycerol, propylene glycol, and liquid polyethylene glycol, and the like), suitable mixtures thereof, and/or vegetable oils.
  • Proper fluidity may be maintained, for example, by the use of a coating, such as lecithin, by the maintenance of the required particle size in the case of dispersion and by the use of surfactants.
  • a coating such as lecithin
  • surfactants for example, parabens, chlorobutanol, phenol, sorbic acid, thimerosal, and the like.
  • isotonic agents for example, sugars or sodium chloride.
  • Prolonged absorption of the injectable compositions can be brought about by the use in the compositions of agents delaying absorption, for example, aluminum rnonostearate and gelatin.
  • aqueous solution for parenteral administration in an aqueous solution, for example, the solution should be suitably buffered if necessary and the liquid diluent first rendered isotonic with sufficient saline or glucose.
  • aqueous solutions are especially suitable for intravenous, intramuscular, subcutaneous and intraperitoneal administration.
  • a sterile aqueous medium that can be employed will be known to those of skill in the art in light of the present disclosure.
  • one dosage may be dissolved in 1 ml of isotonic NaCl solution and either added to 1000 ml of hypodermoclysis fluid or injected at the proposed site of infusion (see, e.g., Remington 's Pharmaceutical Sciences, 15th Edition, pp.
  • Sterile injectable solutions are prepared by incorporating the active compounds in the required amount in the appropriate solvent with various of the other ingredients enumerated above, as required, followed by filtered sterilization.
  • dispersions are prepared by incorporating the various sterilized active ingredients into a sterile vehicle which contains the basic dispersion medium and the required other ingredients from those enumerated above.
  • the preferred methods of preparation are vacuum-drying and freeze-drying techniques which yield a powder of the active ingredient plus any additional desired ingredient from a previously sterile-filtered solution thereof.
  • compositions disclosed herein may be formulated in a neutral or salt form.
  • Pharmaceutically-acceptable salts include the acid addition salts (formed with the free amino groups of the protein) and which are formed with inorganic acids such as, for example, hydrochloric or phosphoric acids, or such organic acids as acetic, oxalic, tartaric, mandelic, and the like. Salts formed with the free carboxyl groups can also be derived from inorganic bases such as, for example, sodium, potassium, ammonium, calcium, or ferric hydroxides, and such organic bases as isopropylamine, trimethylamine, histidine, procaine and the like.
  • solutions Upon formulation, solutions will be administered in a manner compatible with the dosage formulation and in such amount as is therapeutically effective.
  • the formulations are easily administered in a variety of dosage forms such as injectable solutions, drug-release capsules, and the like.
  • lipid formulations have been used extensively for cell culture experiments, the attributes for optimal uptake in cell culture do not match those useful in animals.
  • the principle issue is that the cationic nature of the lipids used in cell culture leads to aggregation when used in animals and results in serum clearance and lung accumulation.
  • Polyethylene glycol complexed-liposome formulations are currently under investigation for delivery of siRNA by several academic and industrial investigators but typically require complex and formulation knowledge. There are a few reports that cite limited success using lipid-mediated delivery of plasmids or oligonucleotides in animals.
  • Oligonucleotides can also be administered via bolus or continuous administration using an ALZET mini-pump (DURECT Corporation). Caution should be observed with bolus administration as studies of antisense oligonucleotides demonstrated certain dosing-related toxicities including hind limb paralysis and death when the molecules were given at high doses and rates of bolus administration. Studies with antisense and ribozymes have shown that the molecules distribute in a related manner whether the dosing is through intravenous (IV), subcutaneous (sub-Q), or intraperitoneal (IP) administration. For most published studies, dosing has been conducted by IV bolus administration through the tail vein. Less is known about the other methods of delivery, although they may be suitable for various studies. Any method of administration will require optimization to ensure optimal delivery and animal health.
  • IV intravenous
  • subcutaneous subcutaneous
  • IP intraperitoneal
  • dosing can occur once or twice per day.
  • the clearance of oligonucleotides appears to be biphasic and a fairly large amount of the initial dose is cleared from the urine in the first pass.
  • Dosing should be conducted for a fairly long term, with a one to two week course of administration being preferred. This is somewhat dependent on the model being examined, but several metabolic disorder studies in rodents that have been conducted using antisense oligonucleotides have required this course of dosing to ⁇ demonstrate clear target knockdown and anticipated outcomes.
  • Liposomes Liposomes.
  • the inventors contemplate the use of liposomes, nanocapsules, microparticles, microspheres, lipid particles, vesicles, and the like, for the administration of the 14-3-3sigma inhibitory peptides and nucleic acids of the present invention.
  • the compositions of the present invention may be formulated for delivery either encapsulated in a lipid particle, a liposome, a vesicle, a nanosphere, or a nanoparticle or the like.
  • the 14-3-3sigma siRNA inhibitors e.g., SEQ ID NOS: 7-8
  • liposomes are generally known to those of skill in the art (see for example, Couvreur et al., 1977; Couvreur, 1988; Lasic, 1998; which describes the use of liposomes and nanocapsules in the targeted antibiotic therapy for intracellular bacterial infections and diseases).
  • liposomes were developed with improved serum stability and circulation half-times (Gabizon & Papahadjopoulos, 1988; Allen and Choun, 1987; U. S. Patent 5,741,516).
  • various methods of liposome and liposome like preparations as potential drug carriers have been reviewed (Takakura, 1998; Chandran et al, 1997; Margalit, 1995; U. S. Patent 5,567,434; U. S. Patent 5,552,157; U. S. Patent 5,565,213; U. S. Patent 5,738,868 and U. S. Patent 5,795,587).
  • Liposomes are formed from phospholipids that are dispersed in an aqueous medium and spontaneously form multilamellar concentric bilayer vesicles (also termed multilamellar vesicles (MLVs). MLVs generally have diameters of from 25 nm to 4 m. Sonication of MLVs results in the formation of small unilamellar vesicles (SUVs) with diameters in the range of 200 to 500 A, containing an aqueous solution in the core.
  • SUVs small unilamellar vesicles
  • Liposomes bear resemblance to cellular membranes and are contemplated for use in connection with the present invention as carriers for the peptide compositions.
  • Liposomes are widely suitable as both water- and lipid-soluble substances can be entrapped, i.e. in the aqueous spaces and within the bilayer itself, respectively. It is possible that the drug-bearing liposomes may even be employed for site-specific delivery of active agents by selectively modifying the liposomal formulation.
  • Targeting is generally not a limitation in terms of the present invention. However, should specific targeting be desired, methods are available for this to be accomplished. For example, antibodies may be used to bind to the liposome surface and to direct the liposomes and its contents to particular cell types. Carbohydrate determinants (glycoprotein or glycolipid cell-surface components that play a role in cell-cell recognition, interaction and adhesion) may also be used as recognition sites as they have potential in directing liposomes to particular cell types. Alternatively, the invention provides for pharmaceutically-acceptable nanocapsule formulations of the compositions of the present invention.
  • Nanocapsules can generally entrap compounds in a stable and reproducible way (Henry-Michelland et ai, 1987; Quintanar-Guerrero et al, 1998; Douglas et al, 1987).
  • ultrafine particles sized around 0.1 m
  • Biodegradable polyalkyl-cyanoacrylate nanoparticles that meet these requirements are contemplated for use in the present invention.
  • Such particles may be are easily made, as described (Couvreur et al., 1980; 1988; zur Muhlen et al., 1998; Zambaux et al. 1998; Pinto- Alphandry et al., 1995 and U. S. Patent 5,145,684).
  • the nucleic acids encoding inhibitory 14- 3-3sigma peptides and nucleic acids of the present invention can be used for transfection of cells in vitro and in vivo. These nucleic acids can be inserted into any of a number of well- known vectors for the transfection of target cells and organisms as described below. The nucleic acids are transfected into cells, ex vivo or in vivo, through the interaction of the vector and the target cell. The nucleic acid, under the control of a promoter, then expresses an inhibitory 14-3-3sigma peptides and nucleic acids of the present invention, thereby mitigating the effects of over amplification of a candidate gene associated with reduced survival rate.
  • viral vectors may be used. Suitable vectors include, for example, herpes simplex virus vectors as described in Lilley et al, Curr. Gene Ther. l(4):339-58 (2001), alphavirus DNA and particle replicons as decribed in e.g., Polo et al, Dev. Biol. (Basel) 104:181-5 (2000), Epstein-Barr virus (EBV)-based plasmid vectors as described in, e.g., Mazda, Curr. Gene Ther. 2(3):379-92 (2002), EBV replicon vector systems as described in e.g., Otomo et al, J. Gene Med.
  • herpes simplex virus vectors as described in Lilley et al, Curr. Gene Ther. l(4):339-58 (2001)
  • alphavirus DNA and particle replicons as decribed in e.g., Polo et al, Dev. Biol. (Basel
  • AAV adeno-associated virus
  • Additional suitable vectors include ElB gene-attenuated replicating adenoviruses described in, e.g., Kim et al, Cancer Gene Ther.9(9):725-36 (2002) and nonreplicating adenovirus vectors described in e.g., Pascual et al, J. Immunol. 160(9):4465-72 (1998) Exemplary vectors can be constructed as disclosed by Okayama et al (1983) MoI. Cell. Biol. 3:280. [0138] Molecular conjugate vectors, such as the adenovirus chimeric vectors described in Michael et al. (1993) /. Biol. Chem. 268:6866-6869 and Wagner et al. (1992) Proc. Natl. Acad. Sci. USA 89:6099-6103, can also be used for gene delivery according to the methods of the invention.
  • retroviruses provide a convenient and effective platform for gene delivery systems.
  • a selected nucleotide sequence encoding an inhibitory 14-3-3sigma nucleic acid or polypeptide can be inserted into a vector and packaged in retroviral particles using techniques known in the art.
  • the recombinant virus can then be isolated and delivered to a subject.
  • Suitable vectors include lentiviral vectors as described in e.g., Scherr and Eder, Curr. Gene Ther. 2(l):45-55 (2002). Additional illustrative retroviral systems have been described (e.g., U.S. Patent No.
  • the inhibitory 14-3-3sigma polypeptides and nucleic acids are administered in combination with a second therapeutic agent for treating or preventing cancer, including ovarian, breast, colon, and other cancers.
  • a second therapeutic agent for treating or preventing cancer, including ovarian, breast, colon, and other cancers.
  • an inhibitory 14-3-3sigma siRNA of SEQ ID NO: 5-6 may be administered in conjunction with any of the standard treatments for cancer including, but not limited to, paclitaxel, cisplatin, carboplatin, chemotherapy, and radiation treatment.
  • the inhibitory 14-3-3sigma polypeptides and nucleic acids and the second therapeutic agent may be administered simultaneously or sequentially.
  • the inhibitory 14-3-3sigma polypeptides and nucleic acids may be administered first, followed by the second therapeutic agent.
  • the second therapeutic agent may be administered first, followed by the inhibitory 14-3-3sigma polypeptides and nucleic acids.
  • the inhibitory 14-3-3sigma polypeptides and nucleic acids and the second therapeutic agent are administered in the same formulation.
  • the inhibitory 14- 3-3sigma polypeptides and nucleic acids and the second therapeutic agent are administered in different formulations.
  • their administration may be simultaneous or sequential.
  • kits for use within any of the above diagnostic methods.
  • Such kits typically comprise two or more components necessary for performing a diagnostic assay.
  • Components may be compounds, reagents, containers and/or equipment.
  • one container within a kit may contain an inhibitory 14-3-3sigma polypeptides and nucleic acids.
  • One or more additional containers may enclose elements, such as reagents or buffers, to be used in the assay.
  • kits may also, or alternatively, contain a detection reagent as described above that contains a reporter group suitable for direct or indirect detection of antibody binding.
  • Kits can also be supplied for therapeutic uses.
  • the subject composition of the present invention may be provided, usually in a lyophilized form, in a container.
  • the inhibitory 14-3-3sigma polypeptides and nucleic acids described herein are included in the kits with instructions for use, and optionally with buffers, stabilizers, biocides, and inert proteins.
  • these optional materials will be present at less than about 5% by weight, based on the amount of polypeptide or nucleic acid, and will usually be present in a total amount of at least about 0.001% by weight, based on the polypeptide or nucleic acid concentration.
  • kits may further comprise a second therapeutic agent, e.g., paclitaxel, carboplatin, a chemotherapeutic agent.
  • a second therapeutic agent e.g., paclitaxel, carboplatin, a chemotherapeutic agent.
  • 14-3-3sigma correlates with malignant progression in two BBC tumor models. [0146] In the present study, we discovered a novel function for 14-3-3sigma in coordinating cell invasiveness and motility within both the HMT-3522 and the MCFlO progression series through directly regulating actin dynamics downstream of canonical cytoskeletal signaling pathways. 14-3-3sigma directly inhibits actin polymerization in vitro and in situ to define the boundaries of microfilament architecture within cells, and in migratory cells, 14-3-3sigma polarizes away from the leading edge to allow the dynamic actin remodeling necessary for directional migration.
  • TMA tissue microarray
  • 14-3-3sigma immunoreactivity correlates with lower 5-year metastasis-free and recurrence-free survival within the TMA cohort
  • 14-3-3sigma expression similarly correlates with tumor relapse, metastasis, and poor survival in two independent patient cohorts.
  • 14-3-3sigma represents the first "functional biomarker" of BBC which may contribute directly to tumor dissemination by modulating actin dynamics, making 14-3-3sigma a promising target of therapeutic intervention for patients with BBC.
  • 14-3-3sigma correlates well with HMT-3522 progression from non-malignant (Sl), to pre-malignant and EGF independent (S2), to preinvasive and highly proliferative (S3C), and to robust tumorigenicity and invasiveness (T4-2) ( Figure 1).
  • Sl non-malignant
  • S2 pre-malignant and EGF independent
  • S3C preinvasive and highly proliferative
  • T4-2 tumorigenicity and invasiveness
  • 14-3-3sigma expression increases as cells become more aggressive from non-malignant (MCFlOA), to premalignant and hyperproliferative (MCFlOneoT), to forming comedo-type DCIS in vivo (MCF10DCIS.com) ( Figure 6A), indicating that 14-3-3sigma expression correlates well with tumorigenesis in two independent models of BBC progression.
  • MCFlO DCIS.com cells expressing shRNA hairpins targeting 14-3-3sigma have decreased motility (Figure 6B), though relative to T4-2, even parental MCF10DCIS.com cells are not invasive through lrECM-coated transwell inserts in agreement with their ability to form highly proliferative but non-invasive comedo DCIS at low passages in mouse xenografts [13, 27, 28].
  • MCF10DCIS.com cells with reduced 14-3-3sigma expression form colonies in 3D IrECM with fewer migratory and invasive projections per colony (decreased stellate morphogenesis) than control cells expressing scrambled shRNA hairpins (Figure 6B).
  • EXAMPLE 2 14-3-3sigma inhibits actin polymerization downstream of canonical signaling
  • 14-3-3sigma interacts directly with actin to inhibit its polymerization.
  • 14-3-3sigma regulates actin structure downstream of small GTPases and other actin reorganizing factors
  • 14-3-3sigma is known by mass spectrometry-based analysis to interact with numerous ligands (including actin) (Wilker EW, van Vugt MA, Artim SA, Huang PH, Petersen CP, Reinhardt HC, Feng Y, Sharp PA, Sonenberg N, White FM et ah 14-3-3sigma controls mitotic translation to facilitate cytokinesis.2007 Nature, 446(7133):329- 332), we asked whether recombinant 14-3-3sigma would interact with purified actin in vitro and whether this mechanism is responsible for the actin phenotype observed.
  • Lifeact is a 17-mer peptide from the actin-binding domain of S. cerevisiae Abpl40, which preferentially decorates F-actin to act much like a live-cell phalloidin.
  • 14-3-3sigma defines regions of actin polymerization to coordinate cytoskeletal homoeostasis and migration, and that similar to many actin regulatory proteins, 14-3-3sigma itself becomes polarized during motility to facilitate directional cell migration.
  • 14-3-3sigma is a novel BBC biomarker which correlates with poor prognosis
  • HMT-3522 Sl, S2, S3C, and T4-2 were maintained in tissue culture monolayers or in 3D cultures on IrECM (MatrigelTM) as previously described [3, 4, 7, 90].
  • IrECM MicrogelTM
  • MCFlOneoT and MCF10DCIS.com cells were obtained from Dr. Fred Miller (Karmanos Cancer Institute, Detroit, MI) and cultured in the same manner as MCFlOA cells [91], which were available from ATCC.
  • BT549 and HCCl 143 cell lines were obtained from ATCC and were maintained in RPMI- 1640 media supplemented with 10% FBS and penicillin/streptomycin [92].
  • Tet-inducible lentivirus constructs modified from Invitrogen' s Gateway lentiviral expression system were kindly provided by Eric Campeau (Lawrence Berkeley National Laboratory, Berkeley, CA), while pENTRl ATM was available commercially (InvitrogenTM).
  • pGEX-2TK-14-3-3sigma was used as a PCR template and was kindly provided by Michael Yaffe (Massachusetts Institute of Technology, Cambridge, MA; Addgene plasmid 1 1944), while for RNA interference, sense and antisense 61-mer oligonucleotides encoding previously validated shRNAs targeting 14-3-3sigma [42] or a scrambled sequence were used. The. complete cloning strategy is provided in the Experimental Procedures.
  • pLenti plasmids were cotransfected with pLPl, pLP2, and pLP-VSVG helper plasmids into 293FT host cells using Fugene ⁇ transfection reagent (Roche).
  • the pixel intensity of the mCherry fluorescence was subtracted from that of the YFP channel using ImageJ software, generating a 32-bit differential map to which a 16-color LUT was applied.
  • the maxima and minima of each frame in the time course were uniformly adjusted to compensate for differences in background intensity and fluorophore intensity per cell while avoiding saturation in either channel, giving a positive value where there is higher 14-3- 3sigma intensity, a negative value where there is higher F-actin intensity, and a neutral value where the intensities are equal.
  • pGEX-2TK 14-3-3sigma (kindly provided by Michael Yaffe, Massachusetts Institute of Technology, Cambridge, MA; Addgene plasmid 1 1944) and the vector control were expressed in BL21(DE3)pLysS cells (Promega), and while cells were in log-growth phase, protein production was induced with 0.25mM IPTG for 4 hours. Pelleted cells were lysed in ice-cold PBS containing 1% Triton X-100 and recombinant proteins were purified using columns packed with glutathione sepharose 4B according to the manufacturer's protocol (GE Healthcare). [0166] In-vitro assays.
  • actin For polymerization assays, 0.1 mg/mL actin was depolymerized into G-actin [93], incubated for 1 hour with recombinant proteins (1 :1 molar ratio), then polymerized by addition of KCl to 5OmM, Mg 2+ to 2mM, and ATP to ImM concentrations. F-actin was separated from residual G-actin by fractionation at 150,000g for 1.5 hours [93], and the F- and G-actin pools were resolved by SDS-PAGE as above.
  • l ⁇ M of 488- G-actin was pretreated with 4 ⁇ M of recombinant protein, then either polymerized in vitro and imaged by confocal microscopy as above, or introduced into cells permeabilized with 0.2mg/mL saponin to measure in situ actin polymerization in the presence of ATP [43].
  • 488-G-actin incorporation cells were fixed and the endogenous F-actin cytoskeleton was counterstained with phalloidin. Background intensity was adjusted by applying a threshold uniformly across all cell fields, and actin incorporation, quantified as the ratio of the 488-actin intensity divided by the phalloidin intensity, was calculated for at least 20 independent cell fields using ImageJ software.
  • cDNA microarray survival analysis cDNA microarray survival analysis. cDNA microarray data for patients comprising the Netherlands Cancer Institute (NKI) cohort was downloaded from Rosetta Inpharmatics server, and are described elsewhere [56]; clinical data for NKI patients is published elsewhere [58]. Clinical data and cDNA microarray data for patients comprising the UCSF cohort were downloaded from the LBNL server
  • mice were shown to have decreased migration and invasion in culture assays when deficient in 14-3-3sigma expression.
  • T4-2 sh-14-3-3 ⁇ T4-2 cells having disrupted expression of 14-3-3sigma
  • T4-2 sh-scrambled T4-2 sh-scrambled cells
  • 5,000,000 cells in 50% Matrigel were injected subcutaneously into the rear flanks of 8 week old female BALB/c (nu/nu) mice. Tumor volumes were measured three times a week with a caliper until mice were sacrificed after 5-6 weeks of tumor growth.
  • EXAMPLE 8 Detecting 14-3-3sigma for diagnosis and prognosis: [0172]
  • 14-3-3sigma when expressed at high levels in breast tumors, effectively identifies basal-like breast cancer and correlates with poor clinical outcome.
  • 14-3-3sigma expression and lack estrogen receptor are of basal-like molecular subtype, one can predict that a patient who has a biopsy taken which is found to be ER-negative and 14-3-3sigma positive breast cancer will most likely have basal-like breast cancer.
  • basal-like breast cancers typically are ER/PR/HER2 "triple negative", these tumors are not predicted to respond to current therapies targeting these molecules. Additionally, basal-like breast tumors have poor 5-year clinical outcome.
  • 14-3- 3sigma immunohistochemical staining can be employed as a diagnostic and predictive tool, whereby a patient biopsy can be stained and if high expression of 14-3-3sigma and absence of ER is confirmed, it can be concluded by the clinician that the patient would most likely not respond to tamoxifen, HER2, or related therapies and will most likely have poor clinical outcome. Recommendations can be made for the patient to be prioritized for more aggressive treatment with other therapies (if possible). In contrast, if 14-3-3sigma is absent and ER is present in the biopsy, the patient would more likely have better response to tamoxifen or related therapies and most likely better clinical outcome.
  • immunohistochemical staining of a non-malignant breast tissue can be employed as a standard, whereby 14-3-3sigma staining intensity in tumors that is greater than or equal to the intensity observed in myoepithelial cells of the normal breast can be scored as positive.
  • purified 14-3-3sigma can be pretreated with the drug, added to purified G-actin, and then the G-actin polymerized by adding ATP, KCl, and MgC ⁇ . If the drug inhibits 14-3-3 sigma, one would expect to see robust polymerization of actin in the presence of the drug, while in the absence of the drug, 14-3-3sigma would still be able to inhibit actin polymerization.
  • 14-3- 3sigma promoter methylating agents or RNAi agents the agent is introduced to cells, and the levels of 14-3-3sigma RNA and protein relative to an untreated control are quantified by q- PCR and western blot analysis, respectively.
  • the drug is introduced and the levels of 14-3-3 protein are measured by western blot analysis relative to an untreated control. These agents should not influence RNA levels (measured by q-PCR).
  • the drugs can be tested for efficacy as chemotherapeutics.
  • cells are grown to confluent monolayers, scratched with a pipet tip, and the rate by which cells migrate into the gap is quantified in the presence and absence of the drug.
  • cells are seeded on top of MatrigelTM coated transwell inserts containing 8 ⁇ m pores. The rate by which cells degrade through the MatrigelTM and migrate through the pores is quantified over time, in the presence and absence of the drug.
  • the drug inhibits cell migration and invasion (important prerequisites to metastasis)
  • a highly metastatic cell line such as MDA-MB-231
  • the mice would be sacrificed, then the lung sections stained using an antibody specific for human cytokeratins (to quantify the rate of lung metastasis of the human MDA-MD-231 cells).
  • xenografts could be performed by injecting breast cancer cells into mice to form a primary tumor, and the rate of metastasis could be monitored at time intervals following the initial appearance of a tumor beyond a given size. Many methods could be used. For example, one would inject cells into the "cleared" mammary gland fat pad of immunocompromised/athymic mice.
  • the drug can be administered (as optimized in tail vein injection studies), and the frequency of metastasis to distant organs quantified as for tail vein injection studies. This can be done either following removal of the tumor (adjuvant treatment) or with the tumor present (neoadjuvant treatment), and the frequency of distant recurrence, tumor shrinkage, and overall survival (in the presence or absence of drug) would be experimental endpoints. Other in vivo metastasis assays could be performed as well.
  • Ck cytokeratin
  • ER estrogen receptor
  • IDC invasive ductal carcinoma
  • ILC invasive lobular carcinoma
  • LN mets lymph node metastasis
  • LVI lympho-vascular invasion
  • Nielsen groups immunophenotypic groups defined based upon the expression of ER, HER2, Ck 5/6 and EGFR (Nielsen et al., 2004); PR: progesterone receptor

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Abstract

14-3-3sigma a été initialement décrit en tant que suppresseur de tumeur du sein silencieux dans environ 80 % des tumeurs. Cependant, nous montrons que l'expression de 14-3-3sigma se corrèle avec l'acquisition d'une tumorigénicité et d'une invasivité, et que le 14-3-3sigma coordonne la migration cellulaire directionnelle par inhibition directe de la polymérisation de l'actine (in vivo et in situ) en aval de voies de signalisation canoniques, définissant ainsi des régions d'assemblage d'actine dans les cellules. Par une analyse immunohistochimique, le 14-3-3sigma a émergé en tant que biomarqueur du cancer du sein basal hautement sensible et spécifique, qui lorsqu'il est présent, se corrèle à une métastase et une issue médiocre dans des cohortes de patients indépendants. Ces données suggèrent que le ciblage de la dynamique cytosquelettique d'actine régulée par 14-3-3sigma peut bénéficier à des patients ayant le sous-type de cancer du sein de type basal.
PCT/US2010/039276 2009-06-19 2010-06-18 14-3-3sigma en tant que biomarqueur d'un cancer du sein basal WO2010148370A1 (fr)

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Citations (2)

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US20050191640A1 (en) * 2001-01-26 2005-09-01 The Johns Hopkins University School Of Medicine Aberrantly methylated genes as markers of breast malignancy
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PULUKURI ET AL.: "CpG island promoter methylation and silencing of 14-3-3sigma gene expression in LNCaP and Tramp-C1 prostate cancer cell lines is associated with methyl-CpG-binding protein MBD2.", ONCOGENE, vol. 25, no. 33, 2006, pages 4559 - 4572 *
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